Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatiana Y Jackson

Individual provider Drama Therapist · NPI 1073488862

Tatiana Y Jackson is a Drama Therapist in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

401 Dover St
Bridgeport, CT 06610-2277
Phone: (929) 669-7281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Drama Therapist (primary) Taxonomy 101200000X (CT)

Record details

NPI number1073488862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025